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NPI Code Detail

MEDICARE: SHERRI CAROLINO LCSW, LADC

MEDICARE:   SHERRI  CAROLINO  LCSW, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker005757CT
2101YA0400XAddiction (Substance Use Disorder) Counselor000767CT

Other Identifiers

General Provider Information

NPI Number : 1750399176
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI CAROLINO LCSW, LADC
Provider Business Mailing Address
First Line : 141 E MAIN ST
Second Line :
City : WATERBURY
State : CT
Zip : 06702-2310
Country : US
Telephone Number : 203-597-1935
Fax Number : 203-597-8711
Provider Business Practice Location Address
First Line : 141 E MAIN ST
Second Line :
City : WATERBURY
State : CT
Zip : 06702-2310
Country : US
Telephone Number : 203-597-1935
Fax Number : 203-597-8711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 09/26/2014

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Directions to “ SHERRI CAROLINO LCSW, LADC” Practice Location

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